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General NPI Number Information
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NPI Number | 1528211190
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Entity Type | Organization
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Legal Business Name | PITRELLI SERVICES INC.
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 37 WOODLAKE DR
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City | THIELLS
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State | NY
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Zip | 10984-1307
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Country | US
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Telephone | 201-707-7634
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Fax | 845-786-2082
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Provider Business Mailing Address
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Address Line | 37 WOODLAKE DR
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City | THIELLS
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State | NY
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Zip | 10984-1307
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Country | US
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Telephone | 201-707-7634
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Fax | 845-786-2082
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Authorized Official
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Title or Position | CEO
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Name | ANNE MARIE PITRELLI
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Credential | MSPT
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Telephone | 201-707-7634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 022925
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License Number State | NY
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